MEDICARE: DR. NICHOLAS HADDAD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	4301080946	MI

General Provider Information

NPI Number	:	1770688111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS HADDAD MD

Provider Business Mailing Address
First Line	:	1000 HOUGHTON AVE
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-5303
Country	:	US
Telephone Number	:	989-746-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 S WASHINGTON AVE
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48601-2556
Country	:	US
Telephone Number	:	989-746-7500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	01/09/2026

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